by Proactive LTC Consulting | Nov 5, 2024 | Compliance, Documentation, MDS, Medical Review, Medicare, Nursing, PDPM, Quality, Regulatory, Reimbursement, SNF, Therapy
Skilled Service Justification in SNFs In the ever-evolving landscape of skilled nursing facilities (SNFs), the stakes have never been higher. With constant advancements in data analytics, regulatory bodies are sharpening their focus on compliance and accountability... by Proactive LTC Consulting | Oct 22, 2024 | Compliance, Medicare, Regulatory, SNF
Mandatory Off-cycle SNF Revalidation Process—What You Need to Know CMS will be notifying facilities via letter sent from their Medicare Administrative Contractor (MAC) sometime between October to December 2024 that they must complete the off-cycle revalidation... by Proactive LTC Consulting | Oct 22, 2024 | Compliance, Documentation, Medical Review, Medicare, SNF
Mandatory update to SNF ABN (CMS-10055) – 10/31/2024 The Centers for Medicare & Medicaid Services (CMS) released an update to the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN)—Form CMS-10055 in August. The revised form and updated... by Proactive LTC Consulting | Sep 30, 2024 | MDS, Medicare
Q: I accidentally submitted a 5-Day assessment for Managed Care. What steps should I take to correct the situation? A: Updated information has been provided in the Final MDS 3.0 RAI October 2024 section 5.8 page 5-14 to clarify how facilities... by Proactive LTC Consulting | Sep 23, 2024 | MDS, Medicare, Nursing, PDPM, Quality
October 1st is right around the corner which means new MDS changes. While there are fewer changes as compared to 2023, this year brings several important updates. So, sit back with your pumpkin spice latte and read on for the key MDS update information you need to... by Proactive LTC Consulting | Sep 4, 2024 | Coding, Medicare, Q&A, Reimbursement
Q: My biller is requesting a HIPPS code for a Medicare resident who admitted to our SNF and then transferred to an assisted living facility on the same day. I didn’t think we could bill for the day of discharge. Please clarify. A: Generally, the day of...